Healthcare Provider Details

I. General information

NPI: 1134100829
Provider Name (Legal Business Name): ARTHUR JAMES BENSON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN RD N
HAMPDEN ME
04444-1334
US

IV. Provider business mailing address

37 COTTAGE ST
HAMPDEN ME
04444-1310
US

V. Phone/Fax

Practice location:
  • Phone: 207-862-2464
  • Fax: 207-862-2405
Mailing address:
  • Phone: 207-862-5470
  • Fax: 207-862-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4016
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2455
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: